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General NPI Number Information
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NPI Number | 1619399375
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Entity Type | Organization
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Legal Business Name | FINISH LINE CHIROPRACTIC & ACUPUNCTURE INC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 403 E HYNES AVE
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City | ONEILL
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State | NE
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Zip | 68763-1301
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Country | US
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Telephone | 402-336-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 403 E HYNES AVE
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City | ONEILL
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State | NE
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Zip | 68763-1301
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Country | US
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Telephone | 402-336-9979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL WAYNE NEKOLITE
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Credential |
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Telephone | 402-336-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1785
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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